When you think about getting a straighter smile, an orthodontist is usually the first professional that comes to mind. They are the experts in correcting misaligned teeth and jaws using tools like braces and clear aligners. But what about more complex cases that might require surgery? This often leads to a common question: do orthodontists do surgery?
It’s a valid question, and the answer isn’t a simple yes or no. While orthodontists are specialists in the structure of the jaw and teeth, their role is primarily non-surgical. However, they play a crucial part in procedures that do require surgery, working alongside other dental specialists.
This post will clarify the role of an orthodontist, explain when surgery might be needed, and detail how orthodontists and oral surgeons collaborate to achieve the best results for your smile.
Key Takeaways
- Orthodontists specialize in correcting the alignment of teeth and jaws but typically do not perform surgical procedures.
- They collaborate closely with oral surgeons when surgery is required, ensuring a cohesive treatment plan.
- Surgical interventions might be necessary for severe cases of misalignment, jaw irregularities, or other complex dental issues.
- Effective communication between your orthodontist and oral surgeon is essential to achieving the best possible outcome for your oral health and smile.
What Is an Orthodontist?
To understand their role, it’s important to first define what an orthodontist is. An orthodontist is a dental specialist who focuses on diagnosing, preventing, and treating dental and facial irregularities. This specialty is known as orthodontics.
To become an orthodontist, a person must first complete dental school to become a dentist. After that, they must attend an additional two-to-three-year residency program to receive specialized training in orthodontics and dentofacial orthopedics. This advanced education gives them the expertise needed to manage tooth movement and guide facial development.
Their primary job is to correct “malocclusions,” which is the technical term for misaligned teeth and jaws—often called a “bad bite.” They use a variety of non-surgical appliances to fix these issues.
Do Orthodontists Perform Surgery?
The direct answer is no, orthodontists do not perform surgery. Their practice is focused on non-invasive treatments that gradually move teeth and align the jaws. The tools of their trade are appliances that apply gentle, consistent pressure over time.
Common non-surgical treatments provided by orthodontists include:
- Metal and Clear Braces: These traditional appliances use brackets and wires to shift teeth into their proper positions.
- Spark™ Clear Aligners: A modern alternative to braces, these custom-made, removable trays gradually straighten teeth. They are a popular choice for adults and teens seeking a less noticeable treatment option.
- Retainers: Used after braces or aligners, retainers hold the teeth in their new positions to ensure long-lasting results.
While orthodontists don’t perform the surgery themselves, they are central to the process when it becomes necessary. So, if your orthodontist doesn’t operate, who does? That role belongs to an oral and maxillofacial surgeon. Is an orthodontist an oral surgeon? No, they are two distinct but collaborative specialties.
When Is Orthognathic Surgery Necessary?
In some cases, orthodontic appliances alone are not enough to correct severe jaw and bite issues. When the problem is rooted in the structure of the jawbone itself, orthognathic surgery, or corrective jaw surgery, may be required.
This type of surgery is performed by an oral and maxillofacial surgeon to correct significant irregularities of the jaw bones. The goal is to improve the patient’s ability to chew, speak, and breathe, as well as enhance their facial appearance.
Conditions that might require orthognathic surgery include:
- Severe Jaw Misalignment: This includes significant overbites, underbites, or crossbites that cannot be corrected with orthodontics alone.
- Facial Imbalance or Asymmetry: Corrective jaw surgery can address issues like a receding or protruding chin.
- TMJ Disorders: In some cases, chronic jaw pain or Temporomandibular Joint (TMJ) disorder can be alleviated through surgery.
- Obstructive Sleep Apnea: Surgery can help open the airway by repositioning the jaw.
The Orthodontist’s Role in Surgical Cases
Even though the oral surgeon performs the operation, the orthodontist is a key player on the treatment team. The process is a collaborative effort, with the orthodontist managing the alignment of the teeth before and after the surgical procedure.
Here’s how the partnership typically works:
- Pre-Surgical Orthodontics: Before surgery, the patient will usually wear braces or clear aligners for several months. The orthodontist’s goal during this phase is to move the teeth into a position that will allow them to fit together correctly after the jaw is repositioned by the surgeon. This might temporarily make the bite seem worse, but it is a critical step for a successful surgical outcome.
- Coordination with the Surgeon: The orthodontist works closely with the oral surgeon to plan the procedure. They use advanced imaging and digital models to simulate the surgery and predict the final result, ensuring both specialists are aligned on the treatment plan.
- Post-Surgical Orthodontics: After the patient has recovered from surgery, the orthodontist takes over again. This final phase involves fine-tuning the bite and perfecting the alignment of the teeth. This stage typically lasts for several more months.
This teamwork ensures that both the teeth and jaws are in their ideal positions, leading to a stable, functional, and beautiful smile.
Finding the Right Orthodontist in Longview, WA
Choosing the right orthodontist is a critical step in your smile journey, whether your case requires surgery or not. Look for a board-certified orthodontist, as this indicates they have met the highest standards of the profession.
At Wagner Orthodontics, Dr. Peter Wagner is a third-generation, board-certified orthodontist dedicated to providing the highest quality of care. Our practice uses state-of-the-art technology, including digital impressions, to create personalized and effective treatment plans. We offer a range of services, from traditional braces to Spark Clear Aligners, for patients of all ages in Longview, WA.
We understand that every patient is unique, and we are committed to creating a comfortable and friendly environment. During your complimentary consultation, we’ll discuss your needs and help you determine the best path forward for your smile.
Frequently Asked Questions
Q: Is an orthodontist a type of surgeon?
A: No, an orthodontist is not a surgeon. They are dental specialists focused on non-surgical treatments to align teeth and jaws. Oral and maxillofacial surgeons are the specialists who perform corrective jaw surgery.
Q: Can braces fix a jaw misalignment without surgery?
A: In many cases, yes. Braces and other orthodontic appliances can correct mild to moderate jaw misalignments, especially in younger patients whose jaws are still developing. However, severe misalignments in adults often require surgery.
Q: How long is the recovery from orthognathic surgery?
A: Initial recovery typically takes a few weeks, though the complete healing process can last several months. Your oral surgeon and orthodontist will provide detailed post-operative instructions to ensure a smooth recovery.
Q: Will my insurance cover corrective jaw surgery?
A: Coverage depends on your specific insurance plan and the medical necessity of the procedure. If the surgery is deemed medically necessary to correct functional issues like chewing or breathing problems, it is more likely to be covered. Our team at Wagner Orthodontics can help you understand your insurance options.
Your Smile Is Our Legacy
While orthodontists don’t perform surgery, they are experts in creating healthy, beautiful smiles through non-invasive treatments. In cases requiring surgery, they serve as the project managers, guiding your teeth into place and collaborating with an oral surgeon to achieve the best possible outcome.
If you have concerns about your bite or jaw alignment, the first step is a consultation with a qualified orthodontist. At Wagner Orthodontics, we are proud to continue a family legacy of exceptional care in Longview that started in 1970.
Ready to explore your options for a healthier, more confident smile? Visit us for a complimentary consultation at our Longview office.
Our Location:
855 11th Ave STE A, Longview, WA 98632
